About OWCP Form CA-16

The OWCP Form CA-16, also known as Authorization for Examination and/or Treatment, is a crucial document in the process of claiming federal workers’ compensation benefits for work-related injuries or illnesses.

Here’s an overview of the form:

What it is for:

  • Used by federal agencies to authorize medical care for employees who claim a work-related injury or illness.
  • Guarantees payment for authorized medical services, regardless of whether the claim is ultimately accepted or denied by the Department of Labor’s Office of Workers’ Compensation Programs (OWCP).

Who uses it:

  • Federal agency supervisors: Issue the form to employees who sustain a work-related injury or illness requiring medical attention.
  • Medical providers: Accept the form as authorization to treat the employee and bill OWCP for services rendered.

Key features:

  • Part A: Completed by the agency supervisor, includes employee information, date and nature of the injury/illness, and description of authorized medical care.
  • Part B: Completed by the medical provider, confirms acceptance of the authorization and outlines the medical services provided.
  • Valid for 60 days: Coverage for authorized services continues for 60 days from the date of issuance, unless terminated earlier by OWCP.

Additional notes:

  • The form should be issued within four hours of the claimed injury whenever possible.
  • Employees can choose their own medical weight loss provider within a reasonable distance.
  • The form can be used for occupational diseases or illnesses only with prior permission from OWCP.

Here are some resources where you can find the OWCP Form CA-16: